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General NPI Number Information
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NPI Number | 1912065087
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER PHARMACY, INC.
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1010 MEDICAL CENTER DR
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City | POWDERLY
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State | KY
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Zip | 42367-5463
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Country | US
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Telephone | 270-338-9993
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Fax | 270-338-9903
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Provider Business Mailing Address
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Address Line | 1010 MEDICAL CENTER DR
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City | POWDERLY
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State | KY
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Zip | 42367-5463
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Country | US
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Telephone | 270-338-9993
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Fax | 270-338-9903
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Authorized Official
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Title or Position | SECRETARY
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Name | ELIZABETH A GENTRY
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Credential | PHARM
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Telephone | 270-684-3414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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